Burn Healing and Analgesia With Propranolol

Inclusion Criteria: * Thermal burn * Greater than or equal to 18 years of age * Less than 60 years of age * Able to speak and read English Exclusion Criteria: * Intubated * Clinically unstable * Other substantial comorbid injury (e.g. long bone fracture) * Heart block greater than first degree (EKG) * History of coronary artery disease * History of congestive heart failure * Asthma (within past 10 years, induced by a beta-blocker, or receiving current treatment) * Pregnant * Prisoner * Psychotic, suicidal, or homicidal * Diabetic * Hepatic failure (acute or chronic) * Renal failure (acute or chronic) * History of hyperthyroidism unless taking synthroid or other thyroid hormone replacement * Exceeds daily acceptable chronic opioid use prior to burn * Interacting medication * Received propranolol within the last 6 months * Multiple severe allergic reactions * On daily methylphenidate or similar stimulant medication * Unwilling to use medically acceptable birth control (if childbearing potential) * Breastfeeding * Severe peripheral vascular disease or vasospastic disorder * Bradycardia that in the opinion of the investigator would constitute too great a risk when considered in the context of the patient's medical comorbidities and health history * Other criteria that in investigator's opinion makes participant poor candidate for the trial * Cancer (except basal cell cancer)